Thanks for your thoughtful replies. I guess I am in need of some "immediate" relief. I stayed inpatient at Sheppard Pratt for 2 months several years ago. It was a great help, but that has worn off. Many many inpatients vists at the local hospital are of no help. I don't do well in groups, meds have been readjusted, deleted, and added more than I can count. My T is the best, but I guess I just wanted to see some results. Just seems things have been on a downward spiral the past couple years!